胸腰椎转移性肿瘤的外科治疗  

The surgical treatment of the thoracic and lumber spinal metastases

作　　者：任中全[1] 龚全[2] 宋跃明[2] 刘浩[2] 李涛[2] 刘立岷[2] 曾建成[2] 

机构地区：[1]营山县人民医院骨科,四川营山637700 [2]四川大学华西医院骨科,四川成都610041

出　　处：《西部医学》2008年第4期808-810,共3页Medical Journal of West China

摘　　要：目的探讨胸、腰转移性肿瘤患者的临床资料。方法回顾性分析43例胸、腰椎转移性肿瘤患者的临床资料。结果手术后4例3个月内死亡,39例随访3个月-36个月,平均18.5个月,所有患者手术后疼痛得到缓解甚至消失,脊髓压迫症状改善或缓解。结论胸、腰椎转移性肿瘤的手术治疗能够稳定和重建脊柱,改善或缓解脊髓压迫症状,从而改善患者的生活质量。术中彻底切除肿瘤、减压及坚固内固定是保证治疗效果的关键。Objectives To study the clinical features and surgical treatment of the thoracic and lumbar spinal metastases. Method 43 cases with lumbar spinal metastases were underwent with anterior or （and） posterior tumor resection and internal fixation. Result 4 cases died within 3 months after surgery. The pain of patients was relieved and the neurological status of the patients was maintained or improved. Conclusion The surgical treatment of the thoracic and lumbar spinal metastases could stabilize and reconstruct the spine, maintain and improve the neurological status of the patients.

关 键 词：胸腰椎 肿瘤转移 手术治疗 

分 类 号：R738.1[医药卫生—肿瘤]